Jacksonville Vision Clinic INC

NPI #1891920674 in Jacksonville, Oregon

Provider Information

NPI Number: 1891920674
Entity Type: Organization
Organization Name: Jacksonville Vision Clinic INC
Primary Specialty: Optometrist
Enumeration Date: May 21, 2009
Last Updated: May 3, 2012

Practice Location

Address: 950 N 5TH ST
City: Jacksonville
State: Oregon
ZIP Code: 97530-9016
Phone: (541) 899-2020

Authorized Official

Name: JULIE DANIELSON, O.D.
Title: OPTOMETRIST
Phone: (541) 899-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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